Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.54 / $113.56 / $117.94	Facility		$44.54	$113.56	$117.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $75.67 / $130.71	Professional		$31.25	$75.67	$130.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.55 / $468.96 / $635.36	Facility		$399.55	$468.96	$635.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $51.29 / $69.23	Professional		$8.72	$51.29	$69.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $71.78 / $167.68	Professional		$30.34	$71.78	$167.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $44.54 / $120.79 / $120.79	Facility		$44.54	$120.79	$120.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $46.26 / $120.79 / $153.15	Professional		$46.26	$120.79	$153.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.78 / $144.21	Professional		$81.79	$101.78	$144.21
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.19 / $145.19 / $191.05	Professional		$102.19	$145.19	$191.05